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STOP-AUST: The Spot Sign And Tranexamic Acid On Preventing Intracerebral Haemorrhage Growth – AUStralasia Trial
Funder
National Health and Medical Research Council
Funding Amount
$764,621.00
Summary
The STOP-AUST study is a randomized controlled trial with the aim of testing whether the medication tranexamic acid when given early within 4.5 hours of symptom onset is superior to standard care alone in stopping intracerebral haemorrhage (ICH, a bleeding into the brain) growth. Total 100 to 150 patients will be enrolled into the study.
ASPREE- NEURO; Aspirin And Cerebral Microhaemorrhages
Funder
National Health and Medical Research Council
Funding Amount
$989,195.00
Summary
Cerebral Microhaemorrhages (CMH) are tiny areas of blood vessel breakdown commonly found on brain MRIs in the elderly. Their clinical significance is not clear- prior studies have linked them to use of blood thinning medications, cognitive decline and risk of stroke. This randomised controlled trial will determine whether low dose aspirin increases the number of CMH on brain MRI in the healthy elderly after 1 and 3 years, and whether the number and location of CMH affects cognitive function.
Randomized Controlled Trial Of Hip Arthroscopy For Femoroacetabular Impingement
Funder
National Health and Medical Research Council
Funding Amount
$1,010,588.00
Summary
Femoroacetabular impingement (FAI) occurs as a consequence of abnormal contact between the pelvis and femoral head–neck junction, resulting in damage to the hip joint. Because FAI is associated with symptoms and may play a role in predisposing to osteoarthritis, new surgical techniques have been developed to correct this anatomic abnormality. However, the disease modifying benefits of surgery are unknown. We therefore propose a randomized controlled trial to evaluate its efficacy and to determin ....Femoroacetabular impingement (FAI) occurs as a consequence of abnormal contact between the pelvis and femoral head–neck junction, resulting in damage to the hip joint. Because FAI is associated with symptoms and may play a role in predisposing to osteoarthritis, new surgical techniques have been developed to correct this anatomic abnormality. However, the disease modifying benefits of surgery are unknown. We therefore propose a randomized controlled trial to evaluate its efficacy and to determine the mechanisms of effect.Read moreRead less
Does Statin Use Have A Disease Modifying Effect In Symptomatic Knee Osteoarthritis? A Multicentre Randomised, Double-blind, Placebo-controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$1,002,987.00
Summary
Osteoarthritis (OA) is a major cause of knee pain and disability. Treatments are limited to reducing pain and improving function: no therapy slows disease progression, with symptomatic end-stage OA treated by knee replacement. Statins, a drug class used to lower cholesterol levels, may affect the structural progression in knee OA. We propose a randomised controlled trial to see if statin use slows the progression of knee OA, which would delay or prevent the need for joint replacement.
Short Duration Hypothermia To Prevent Subsequent Intracranial Pressure Rise.
Funder
National Health and Medical Research Council
Funding Amount
$436,453.00
Summary
Elevated brain pressure after stroke or other forms of brain injury can cause further injury and death. Body cooling to 32-33 C (hypothermia) for 12-24 hours saves lives after some forms of brain injury, but may have major side effects. We found that 2 hours hypothermia has a long-lasting effect preventing pressure elevation. We will determine the best temperature and duration of hypothermia in a stroke model and use imaging to confirm findings in patients, with a view to later human trials.
Non-invasive Near-infrared Optical Imaging Of Neurodegeneration
Funder
National Health and Medical Research Council
Funding Amount
$312,033.00
Summary
Dementia currently affects over 240,000 Australians with an increasing health cost. A common cause of dementia occurs when proteins in the brain form deposits and brain cells degenerate and die. This project will develop a novel medical imaging method that will facilitate the detection of dying brain cells. This will enable a better understanding of the causes of cell death and the opportunity to identify the best time for meaningful therapeutic intervention.
Micro-elastography - A New Tool For Microscopic Intraoperative Tumour Margin Assessment In Breast Cancer
Funder
National Health and Medical Research Council
Funding Amount
$195,956.00
Summary
In breast cancer surgery, it is vital to completely remove the entire tumour. Unfortunately, in 30% of breast-conserving surgeries, re-excision is required because microscopic analysis after the surgery indicated some tumour had been missed. This has traumatic consequences for the patient and places a huge economic burden on the healthcare system. Using micro-elastography, we will enable the surgeon to detect small regions of tumour during the initial surgery. This probe may significantly reduce ....In breast cancer surgery, it is vital to completely remove the entire tumour. Unfortunately, in 30% of breast-conserving surgeries, re-excision is required because microscopic analysis after the surgery indicated some tumour had been missed. This has traumatic consequences for the patient and places a huge economic burden on the healthcare system. Using micro-elastography, we will enable the surgeon to detect small regions of tumour during the initial surgery. This probe may significantly reduce the number of additional surgeries required.Read moreRead less
We have previously made the most widely used animal brain atlas in the world. This atlas based on stained histological sections of the rat brain. In recent years, advances in MRI have made it possible to generate images of the rat brain at very high resolution. We have obtained a very high quality MRI image set from colleagues in Duke University in the USA, and we have begun to map these images in great detail, using our histological atlas as a guide.
Optimising Radiation Therapy Delivery For Cancer Patients Using Daily Image Guidance To Maximize Cure And Reduce Normal Tissue Side Effects
Funder
National Health and Medical Research Council
Funding Amount
$510,968.00
Summary
When using radiotherapy to kill tumours, the radiation beams need to be targeted at the tumour, plus a margin of error around it to ensure that it receives sufficient dose despite uncertainties in its exact location relative to reference points used for beam alignment. Advanced statistical modelling techniques applied to data collected from patients will be used to determine the optimal margin width for individual patients to maximise cancer cure while minimising normal tissue side effects.
Novel Nanomaterial Solutions Based On Metal And Metal Oxide For Advanced Diagnosis Of Cardiovascular Diseases
Funder
National Health and Medical Research Council
Funding Amount
$581,037.00
Summary
Cardiovascular disease accounts of over one third of all deaths in Australia and is forecasted to become the leading cause of death in Australia and worldwide. Currently, atherosclerosis and thrombosis in coronary arteries are diagnosed by X-ray angiography, an invasive and risk-associated procedure. Our project will explore new contrast agents for the fast, reliable and safe diagnosis of cardiovascular diseases and thrombotic events, which is beneficial to many patients.